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e ,- '- , Hc~ ~dny ~:r:hs c~c :~e , l~sic~Y' ~:(CEe~ ~0~ Jf dcpro~ri~~~ nu~c~r: (O-t = 0 DOi~ ~ = ~O paines; o. Haw ~any mon~hs did ~he !lbs/day) ~xc~~d per~i~ dpprcpricc~ number~ ~O = 0 "o;n-<;' '- ,. , .. .v e =~f!uen~ sac; ~Jnc=n~~=~icn ~e r;:: i ~ Iii:: i ;: S ~ n -" I I \ .., r :...' - , '.~7' I,!'" I .....:t.: . .1g ~;rc:a c.:~e 2 = to pc i "i: i ; 3 ~ 20 po i n c s ; .., or more = lQ points effluent 3aO~ conc~nc:ation (mg/I ~ or ;Qcding I imics? 0 (Circie ;:ile i - 2 = 5 po i n C 3 ; J or more = 3Q points E. How many ~onc~s did ~~e effluent iS5 concentracion (mg/l) cr IOddi~g fibs/day) exceed 90: of the permit limits? 0 (Circle the dppropriate number) U-t = 0 oo~ 4. = 30 points; How many months did c~e (los/day) exceed permi~ dppropridi:: nu~ber) --~ 2 = 10 points; ] = 20 poin~s; S or more = 40 peints effluent 'TSS cQncentia~ian (mg/l) or IOdding I i m its? n ( C i rc Ie cne 1 - 2 = 5 po 1 n t. s ; 3 or mere = 30 poiiltS G. How many mon~hs did che effiuent ;1rr.monia-,'olitrogen or ;'fii:rate-~Ii=:rogen concentration (mg/l) or 10dding (los/day) exce~d 90: of the ~erill;~ i imits? N/A (Circle the approprid~: number) o -1 = 0 po i n lo S ; 4 = 30 points; 2 = 10 poincs; J = 20 points; J or more = 40 points H. How many months did che effluent Ammon;a-Nitrogen or Nicrata-Ni~~oaen concen;:ration (mgJ1 \ or loading (los/day} exceed per:ni;: I ir.;ics? N/A (Circle the dppropric~= numoer) o = 0 po i n t s ; 1-2 = 5 points; 3 or mor~ = 30 points How many months did i:he effluent fecal culiform concentration exce~d C~E per~it limits? N/A (Circle'the appropriate number) r . . o = 0 po i nt s ; t-2 = 5 points; 3 or more = 30 points J. How many months did the eriluent Phosphorus concentration (mgfl) or loading (los/day) exce~d 90: of lohe per.nit limits? N/A (Circie th~ dppropriate number) 0-1 = 0 po i n t S ; 4 = :;0 points; 2 = to points; 3 = 20 potncs; _ or more = ~O points 6